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Causes of Tear Troughs
Tear troughs are a common facial concern that can affect individuals of various ages, ethnicities, and backgrounds. To understand the causes of tear troughs and their effects on the face, it’s essential to delve into the factors that contribute to their formation.
Causes of Tear Troughs:
- Aging: As we age, our skin undergoes a series of changes that can lead to the formation of tear troughs. One of the primary reasons is the loss of collagen and elastin in the facial tissue, which causes the skin to thin and droop.
- Genetics: Genetic predisposition plays a significant role in the development of tear troughs. If your parents have deep shadows under their eyes, you’re more likely to experience them as well.
- Drooping Eyelids: Excessive skin sagging or droopy eyelids can also contribute to the appearance of tear troughs.
- Poor Sleep Hygiene: Chronic sleep deprivation can lead to dark circles and puffiness, which can be exacerbated by the presence of tear troughs.
- Allergies and Sinus Pressure: Seasonal allergies or sinus issues can cause puffiness and swelling under the eyes, making tear troughs more noticeable.
- Nutritional Deficiencies: Inadequate nutrition, particularly a lack of vitamin K, iron, and other essential minerals, can affect blood vessel health and contribute to the formation of tear troughs.
- Smoking and Environmental Factors: Smoking and prolonged exposure to UV radiation can damage skin tissue and lead to the formation of fine lines, wrinkles, and tear troughs.
The Effects of Aging:
Aging is a significant contributor to the development of tear troughs. As we age, our skin loses its elasticity and collagen, causing it to sag and droop. This loss of tissue can lead to deep shadows under the eyes, making them appear more pronounced.
Effects on Facial Structure:
- Drooping Eyelids: Excessive skin sagging or droopy eyelids can also contribute to the appearance of tear troughs. As we age, our eyelids lose their natural elasticity, causing them to droop and create more space for shadows.
- Facial Fat Redistribution: With aging, fat redistribution occurs in the face, leading to a shift of facial tissues. This can cause deep shadows under the eyes, accentuating tear troughs.
- Skin Thinning: The thinning of skin tissue also contributes to the appearance of tear troughs. As we age, our skin becomes thinner and more translucent, allowing veins and shadows to show through more easily.
The role of Genetics:
Genetics plays a significant role in determining the likelihood of developing tear troughs. If your parents have deep shadows under their eyes, you’re more likely to experience them as well. Genetic factors can influence facial structure, skin elasticity, and collagen production.
The relationship between Tear Troughs and Fillers:
Tear trough fillers are often used to address the appearance of deep shadows under the eyes. While fillers can provide temporary relief, it’s essential to understand that they may not address the underlying causes of tear troughs. Addressing the root cause through a combination of lifestyle changes, skincare routines, and professional treatments can lead to more lasting results.
Tear troughs are a common concern for many individuals, particularly as they age. The causes of tear troughs can be multifaceted, but aging is a primary cause due to the loss of skin elasticity and firmness.
The skin around the eyes is the thinnest in the body, making it more susceptible to sagging and hollowing with age. As we grow older, the collagen and elastin fibers that provide structure and elasticity to the skin begin to break down, leading to a decrease in skin tone and firmness.
Gravity also plays a significant role in the development of tear troughs. As our face ages, the weight of our facial muscles and fat pads causes the skin around the eyes to sag and droop, creating the appearance of hollows underneath the eyes.
Another factor contributing to tear troughs is facial fat atrophy. The facial fat pads that once provided support and volume to the under-eye area begin to shrink with age, exposing the underlying bone and causing the skin to sag and crease.
Skin laxity is also a key contributor to tear troughs. As our skin loses elasticity, it becomes looser and more prone to sagging, creating deep creases and hollows under the eyes.
Genetics can also play a role in the development of tear troughs. Individuals with a family history of premature aging or facial sagging may be more likely to experience tear troughs due to their inherited skin texture and laxity.
Hormonal changes during menopause, for example, can lead to a loss of skin elasticity and firmness, contributing to the development of tear troughs. Similarly, exposure to UV radiation from the sun or other sources can damage collagen and elastin fibers, leading to premature aging of the skin.
Finally, certain medical conditions such as atherosclerosis, Rheumatoid Arthritis, or scleroderma can also contribute to tear troughs by causing inflammation and damage to the skin and underlying tissues.
In summary, while there are several causes of tear troughs, aging is a primary contributor due to the loss of skin elasticity and firmness. Understanding these factors can help individuals determine if filler is necessary to address their concern and choose the most effective treatment option.
Cause and risk factors of tear troughs are multifaceted, with a combination of lifestyle, environmental, and genetic influences contributing to their development.
One of the primary causes of tear troughs is age-related loss of fat and collagen under the eyes. As we grow older, the skin’s elasticity decreases, causing it to sag and accumulate fat, leading to the formation of dark circles and puffiness.
Genetics also play a significant role in the development of tear troughs, with some individuals inheriting a tendency to develop dark circles and puffiness under their eyes. This is often due to a combination of genetic factors such as facial structure, skin tone, and eye shape.
- Family history: Individuals with a family history of tear troughs or other facial wrinkles are more likely to develop them themselves.
- Facial structure: The shape and size of the face can contribute to the development of tear troughs. For example, individuals with a round or square face shape may be more prone to developing dark circles under their eyes.
- Eye shape: The shape and position of the eyes can also affect the likelihood of developing tear troughs. For example, individuals with eyes that are significantly deeper-set than those above the orbital bone may be more prone to developing dark circles under their eyes.
Air pollution, allergies, and sinus pressure can all contribute to puffiness and swelling under the eyes, which can exacerbate the appearance of tear troughs.
Dehydration and lack of sleep can also cause fluid retention in the face, leading to puffiness and swelling under the eyes. Additionally, smoking and excessive sun exposure can cause wrinkles and fine lines around the orbital bone, contributing to the appearance of tear troughs.
Certain medical conditions such as hypothyroidism, anemia, and lymphedema can also contribute to fluid retention and puffiness under the eyes, which can worsen the appearance of tear troughs.
In some cases, tear troughs may be caused by underlying anatomical issues such as a shallow orbital fat pad or a prominent orbital bone. In these cases, surgical or non-surgical interventions may be necessary to address the underlying cause of the tear troughs.
Tear troughs, also known as hollows or depressions under the eyes, are a common concern for many individuals.
The causes of tear troughs can be attributed to various factors that lead to fluid retention and structural changes in the facial tissues.
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_Fluid Retention_ plays a significant role in the development of tear troughs. It refers to the accumulation of excess fluid or _lymphatic stagnation_ in the tissue space under the eyes.
This excess fluid can be caused by various factors, including hormonal fluctuations, salt retention, and poor lymphatic drainage.
_Hormonal Fluctuations_ are another common cause of fluid retention. During times of stress or hormonal changes, the body retains more fluid, leading to swelling and puffy eyes.
Some examples of hormonal fluctuations that can lead to fluid retention include:
- Pregnancy: Hormonal changes during pregnancy can cause fluid retention, leading to puffiness under the eyes.
- Menopause: Decreasing estrogen levels during menopause can also contribute to fluid retention and tear troughs.
_Salt Retention_ is another factor that contributes to fluid retention. Excessive salt consumption or _dehydration_ can lead to water retention, causing swelling under the eyes.
Other factors that contribute to tear troughs include:
- <_b>Lack of Sleep_ : Chronic sleep deprivation can lead to fluid retention and puffiness under the eyes.
- <_i>Smoking_ : Smoking constricts blood vessels, reducing oxygen flow and leading to tissue stagnation, which can contribute to tear troughs.
In addition, _Skin Texture_ and _Collagen Production_ play a crucial role in the appearance of tear troughs. Thinner skin and reduced collagen production can accentuate the appearance of hollows under the eyes.
Understanding the causes of tear troughs is essential for determining the most effective treatment approach, which may include _Filler Injection_ or other cosmetic treatments.
A skilled professional will assess individual factors to determine the best course of action for addressing tear troughs and restoring a more youthful appearance under the eyes.
Tear troughs are a common concern for many individuals, particularly those who have noticed a decline in their cheekbones and facial volume over time.
The formation of tear troughs can be attributed to various factors, which can be categorized into intrinsic and extrinsic causes.
Intrinsic causes refer to the inherent characteristics of an individual’s skin, bones, and connective tissue. Some of the most common intrinsic causes of tear troughs include:
- Genetics: Family history can play a significant role in the formation of tear troughs. Individuals with a family history of premature aging or facial volume loss are more likely to experience tear troughs.
- Aging: As we age, our skin loses its elasticity and firmness, leading to the formation of fine lines, wrinkles, and tear troughs.
- Thinning facial bones: As we age, the bones in our face also undergo natural resorption, which can lead to a loss of facial volume and definition.
- Poor skin elasticity: Individuals with poor skin elasticity are more prone to developing tear troughs due to the inability of their skin to snap back into place after repeated expressions or movements.
Extrinsic causes, on the other hand, refer to external factors that can contribute to the formation of tear troughs. Some common extrinsic causes include:
- Fluid retention: Fluid retention is another common cause of tear troughs, particularly during times of hormonal changes or menopause. This can lead to puffiness and swelling around the orbital bone, creating the appearance of deeper tear troughs.
- Sleeping position: Sleeping with your face pressed into a pillow can cause fluid to accumulate under the eyes, leading to the formation of tear troughs.
- Smoking: Smoking can lead to premature aging and reduce facial volume, increasing the appearance of tear troughs.
- Diet and lifestyle: Consuming high-sodium diets or lacking essential nutrients such as vitamin C and zinc can contribute to fluid retention and the formation of tear troughs.
Additional factors that may exacerbate tear troughs include:
- Poor skincare habits: Failure to properly care for the skin around the orbital bone can lead to irritation, inflammation, and further accentuate the appearance of tear troughs.
- Cosmetic procedures: Certain cosmetic procedures such as facelifts or eyelid surgeries may not address the underlying causes of tear troughs, leading to inadequate results.
It’s essential to understand that filler injection alone cannot address the root cause of tear troughs. Instead, it’s crucial to combine fillers with a comprehensive skincare routine and lifestyle modifications to achieve optimal results.
The appearance of tear troughs can be a concerning issue for many individuals, and it’s essential to understand the causes behind this condition to determine the most effective treatment options.
According to the National Institutes of Health (NIH), fluid retention is one of the primary causes of swelling and puffiness in the face and eyes, including the area under the eyes. This can lead to the formation of dark circles or tear troughs.
- Genetics play a significant role in the development of tear troughs. Some people may be more prone to fluid retention due to their genetic makeup, making them more susceptible to this condition.
- Salt intake can contribute to fluid retention, leading to puffiness and swelling under the eyes. Individuals who consume high amounts of salt should limit their intake or consider alternative seasoning options.
- Fluid retention during menstruation is another common cause of tear troughs. Hormonal changes during this time can lead to increased fluid retention in the body, causing swelling under the eyes.
- Dietary factors such as a high-carbohydrate diet or consuming foods that are high in sugar and salt can also contribute to fluid retention and the appearance of tear troughs.
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Other medical conditions such as hypothyroidism, diabetes, and kidney disease can also cause fluid retention, leading to swelling under the eyes.
- Medications used to treat allergies, asthma, or high blood pressure can lead to fluid retention and swelling under the eyes.
- Sleep deprivation or fatigue can also contribute to fluid retention and the appearance of tear troughs.
- Circulatory issues such as poor lymphatic drainage or blood clots can cause fluid to accumulate under the eyes, leading to the formation of dark circles or tear troughs.
Additionally, lifestyle factors such as smoking, excessive drinking, and lack of exercise can also contribute to the development of tear troughs.
Lack of proper skincare habits, such as not using sunscreen regularly, can also cause dark circles under the eyes due to sun damage and inflammation.
In many cases, tear troughs can be a sign of an underlying medical condition. If you’re concerned about the appearance of tear troughs, it’s essential to consult with a healthcare professional for proper evaluation and treatment.
Treatment Options
The treatment of tear troughs often involves the use of cosmetic fillers to reduce the appearance of dark circles, hollows under the eyes, and a gaunt or aged look.
When it comes to determining how much filler is needed for tear troughs, several factors need to be considered, including the depth and severity of the issue, the type of filler used, and the individual’s personal preferences and pain tolerance.
A common approach is to start with a small amount of filler, usually around 1-2 mL, and adjust as needed. This allows for a more conservative approach and reduces the risk of over-filling or unevenness.
For tear troughs, a hyaluronic acid-based filler such as Juvederm or Restylane is often recommended due to its ability to provide immediate results and long-lasting effects.
Dermal fillers like Radiesse or Sculptra may also be used, particularly for deeper tear troughs or when a more permanent solution is desired. These fillers stimulate collagen production and can provide longer-lasting results.
In some cases, a combination of fillers may be used to achieve the desired results. For example, hyaluronic acid-based fillers may be used in conjunction with calcium hydroxylapatite or poly-L-lactic acid to create a more balanced and natural-looking result.
It’s essential to note that the amount of filler required can vary significantly from person to person. Factors such as the severity of tear troughs, skin laxity, and facial structure all play a role in determining the optimal amount of filler needed.
A qualified healthcare professional or board-certified dermatologist will typically assess the individual’s face and determine the best course of treatment based on their unique needs and concerns.
During the treatment process, the filler is usually administered using a small needle, and the area may be numbed with topical anesthesia to minimize discomfort. The procedure itself typically takes around 15-30 minutes, depending on the location and number of injections required.
After the treatment, patients may experience some temporary side effects such as redness, swelling, or bruising, which usually resolve on their own within a few days.
To ensure optimal results and minimize complications, it’s crucial to follow pre- and post-treatment instructions carefully. This includes avoiding strenuous activities, using gentle makeup products, and scheduling follow-up appointments with the practitioner to check on progress and make any necessary adjustments.
With proper treatment and aftercare, tear troughs can be significantly improved, providing a more refreshed and rejuvenated appearance. However, it’s essential to have realistic expectations and understand that filler treatments are not a one-time fix, but rather an ongoing process for maintaining optimal results.
Regular maintenance treatments spaced 6-12 months apart may be necessary to maintain the desired level of correction and prevent signs of aging from re-emerging.
In some cases, additional treatments such as eyelid surgery or brow lift may be recommended to address related issues like hooded eyes or sagging brows. A comprehensive treatment plan tailored to individual needs will help achieve a more youthful and radiant appearance.
Tear troughs are a common concern for many individuals, resulting from the loss of facial fat and skin elasticity with age, causing deep shadows and dark circles under the eyes.
Fortunately, there are various treatment options available to address tear troughs, with _dermal fillers_ being one of the most popular choices.
Among the many types of dermal fillers used for tear trough correction, *_hyaluronic acid_* and *_calcium hydroxylapatite_* stand out as two of the most commonly utilized options.
Hyaluronic acid fillers are highly effective in providing immediate results, as they can be injected immediately after treatment. They also offer a relatively short recovery time, usually within 2-3 days.
On the other hand, *_calcium hydroxylapatite_* fillers take a bit longer to take effect but provide longer-lasting results, often lasting up to 18-24 months.
To determine the optimal amount of filler needed for tear trough correction, it’s essential to consider several factors, including the depth and width of the tear troughs, as well as the individual’s facial structure and skin type.
A thorough consultation with a qualified healthcare professional or a board-certified dermatologist is necessary to assess the extent of the tear troughs and create a personalized treatment plan.
During the procedure, the healthcare provider will use a _numbing agent_ to minimize discomfort and inject the filler material into the affected area using a _micro-needle_ or a _needle-free delivery system_.
The amount of filler needed can vary greatly depending on the individual’s needs. However, as a general guideline, here are some estimated amounts of fillers required for tear trough correction:
– For mild tear troughs, 1-2 mL of filler may be sufficient.
– For moderate tear troughs, 2-3 mL of filler is typically needed.
– For severe tear troughs, 4-6 mL or more of filler may be required.
It’s essential to remember that the amount of filler needed will also depend on the specific type of filler used and individual factors such as skin elasticity and facial structure.
Furthermore, it’s crucial to choose a qualified healthcare professional or dermatologist who has extensive experience in _dermal fillers_ and can provide personalized guidance throughout the treatment process.
A reputable healthcare provider will also educate you on the potential risks and complications associated with tear trough correction using dermal fillers, including bruising, swelling, and allergic reactions.
Treatment Options for Tear Troughs
A study published in the Journal of Clinical and Aesthetic Dermatology found that fillers can provide significant improvements in tear trough depth and puffiness, making them an attractive option for individuals seeking to address this common concern.
The key to determining the right amount of filler needed for tear troughs lies in understanding the anatomy of the area and the type of filler used.
- Assessment: A thorough evaluation by a qualified healthcare professional or dermatologist is essential to determine the best course of treatment. They will examine the tear troughs, assess the depth and volume of the area, and discuss the individual’s goals and expectations.
- Filler Types: Several types of fillers can be used to treat tear troughs, including hyaluronic acid (HA), calcium hydroxylapatite (CaHa), poly-L-lactic acid (PLLA), and autologous fat transfer. Each filler has its own unique properties and benefits.
- Hyaluronic Acid Fillers: HA fillers, such as Restylane or Juvederm, are the most commonly used fillers for tear troughs. They are highly effective in adding volume and smoothing out deep lines and wrinkles.
- Calcium Hydroxylapatite Fillers: CaHa fillers, such as Radiesse, are another popular option for treating tear troughs. They provide a more substantial amount of volume and can be used to create a more defined contour.
- Poly-L-Lactic Acid Fillers: PLLA fillers, such as Sculptra, are designed for long-term results and can be used to create a natural-looking tear trough correction.
When it comes to determining the amount of filler needed, several factors come into play:
- Volume: The ideal volume of filler will depend on the individual’s needs and goals. A general rule of thumb is to start with a small amount and adjust as needed.
- Density: The density of the filler will also impact the final result. Thicker fillers may be more noticeable, while thinner fillers may provide a more subtle correction.
- Placement: The placement of the filler is crucial in achieving natural-looking results. Fillers should be placed along the tear troughs, rather than just on the surface of the skin.
A common approach for treating tear troughs involves using multiple fillers to create a more comprehensive correction:
- Initial Treatment: A small amount of filler is typically used initially to create a temporary lift and smooth out the area.
- Follow-Up Treatments: Additional treatments are scheduled over time to maintain the desired level of volume and prevent further sagging.
During each treatment, the healthcare professional or dermatologist will carefully assess the results and adjust the amount and placement of filler as needed. This tailored approach ensures that the final result is natural-looking and long-lasting.
Treatment options for tear troughs, also known as nasolabial folds or hollows under the eyes, vary depending on the individual’s concerns and preferences. Some people opt for non-surgical treatments, while others prefer surgical options.
Non-surgical treatments typically involve a combination of medical treatments and cosmetic procedures. Dermal fillers are a popular choice for addressing tear troughs. Fillers like hyaluronic acid (e.g., Juvederm, Restylane), calcium hydroxylapatite (Radiesse), and poly-L-lactic acid (Sculptra) can be injected into the hollow areas to add volume and smooth out the contours of the face.
Hyaluronic acid fillers are generally considered safe and effective for tear trough treatment. They provide immediate results, usually lasting several months before needing to be topped up. The choice of filler depends on individual preferences and concerns, as some people may prefer a more subtle correction while others desire a more dramatic result.
Cosmetic procedures like botulinum toxin injections (e.g., Botox) can also help relax the muscles that contribute to tear troughs. By reducing muscle activity in the area, these injections can minimize the appearance of hollows and fine lines under the eyes. However, results are temporary, typically lasting around 3-6 months.
Another popular non-surgical option is platelet-rich plasma (PRP) therapy. This treatment involves injecting platelet-rich plasma, which is derived from the patient’s own blood, into the area to stimulate collagen production and improve skin texture. While results can be satisfying, PRP therapy may not address tear troughs directly.
Surgical options, on the other hand, involve more invasive procedures with greater permanence of results. Fat grafting involves transferring fat from one part of the body (e.g., abdomen or thighs) to the tear trough area. This method can provide natural-looking results, but it requires a more significant surgical procedure and may carry risks like infection and scarring.
Another surgical option is blepharoplasty, also known as eyelid surgery. During this procedure, excess skin and fat from the upper eyelids are removed to create a smoother appearance. However, this surgery primarily addresses the upper lid and may not directly address tear troughs.
Lastly, subdermal implants, such as silastic or gel-filled rods, can be inserted under the eyes to fill in hollow areas. These implants provide long-lasting results but require a more invasive surgical procedure and carry risks like implant migration, inflammation, and scarring.
When choosing between treatment options, it’s essential to consult with a qualified healthcare professional or board-certified dermatologist to discuss individual concerns, preferences, and needs. Factors like skin type, tear trough depth, and facial structure will influence the choice of treatment. A comprehensive evaluation and personalized recommendation will ensure the most effective and safe treatment plan.
Before undergoing any treatment, patients should carefully consider potential risks, benefits, and outcomes to make an informed decision. Additionally, maintaining a healthy lifestyle, including regular exercise, balanced nutrition, and adequate sleep, can help maintain youthful-looking skin and reduce the appearance of tear troughs over time.
A thorough understanding of treatment options, as well as realistic expectations, will enable patients to make an informed decision about their individual needs and preferences. With careful consideration and expert guidance, it’s possible to find a suitable treatment that enhances the appearance of the under-eye area and boosts overall facial contours.
Laser therapy, radiofrequency, and cryolipolysis are advanced medical treatments that may be recommended for individuals suffering from severe cases of tear troughs.
These non-invasive procedures aim to stimulate collagen production, reduce fat and muscle, and improve the overall appearance of the under-eye area.
Lasers work by emitting specific wavelengths of light that penetrate deep into the skin, stimulating collagen production and tightening tissues. This can help to reduce the appearance of fine lines, wrinkles, and sagging skin associated with tear troughs.
Radiofrequency (RF) treatments use heat energy to stimulate collagen production and tighten tissues. RF waves are absorbed by the tissue, generating heat that increases metabolism and encourages the growth of new collagen fibers. This can lead to a more youthful appearance and reduced signs of aging.
Cryolipolysis, also known as fat freezing, targets the fatty tissue beneath the tear troughs. A cold probe is applied to the area, causing the fat cells to freeze and die off over time. As the body naturally sheds dead cells, the treated area will appear slimmer and more defined.
Other medical treatments that may be recommended for severe cases of tear troughs include:
- Sculptra: A collagen stimulator that helps to increase collagen production in the skin.
- Botox: Can be used to relax facial muscles and reduce the appearance of fine lines and wrinkles.
- Chemical peels: A solution is applied to the skin to remove the top layers, revealing smoother, brighter skin.
It’s essential to consult a board-certified dermatologist or plastic surgeon to determine the best course of treatment for individual cases of tear troughs. They will assess the severity of the condition and recommend the most effective treatments.
A combination of medical treatments may be necessary to achieve optimal results, and it’s crucial to follow pre- and post-treatment instructions carefully to minimize any adverse effects.
Aesthetic treatments have become a popular approach to addressing concerns related to the tear trough area, which can appear hollow or sunken under the eyes.
Tear troughs are caused by a combination of factors, including the natural sagging of facial tissues, bone structure, and loss of skin elasticity.
A study published in the Journal of Cutaneous and Aesthetic Surgery explored various treatment options for improving tear trough depth and skin texture, with a focus on determining the optimal amount of filler needed for effective results.
The study found that dermal fillers, such as hyaluronic acid, calcium hydroxylapatite, or poly-L-lactic acid, can be used to address tear trough concerns by filling in the hollow areas under the eyes.
The authors noted that the key to successful treatment is to select a filler with a matching consistency and viscosity to the natural tissues of the face, as well as one that provides long-lasting results without causing excessive inflammation or scarring.
A 1-2 mL dose of filler is generally considered sufficient for addressing tear troughs, although the exact amount may vary depending on individual patient needs and anatomical characteristics.
The study suggested that using a combination of fillers, such as a hyaluronic acid-based product paired with a calcium hydroxylapatite-based product, may provide optimal results by offering improved durability and long-lasting effects.
It’s also worth noting that the type and quantity of filler used will depend on factors such as skin type, tear trough depth, and facial bone structure.
The study emphasized the importance of selecting a qualified and experienced healthcare professional to administer fillers, as proper technique and dosing can significantly impact treatment outcomes.
In addition to dermal fillers, other treatments such as blepharoplasty (eyelid surgery), facial fat grafting, or chemical peels may also be used in conjunction with fillers to address tear trough concerns.
Ultimately, the amount of filler needed will vary depending on individual patient needs and goals, and it’s essential to work closely with a healthcare professional to determine the most effective treatment plan.
By understanding the underlying causes of tear troughs and exploring various treatment options, individuals can take steps towards achieving more youthful, radiant-looking skin under their eyes.
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